BJSM Podcast

Out of sight, out of mind: the invisibility of female African athletes in SEM research. Ep #480

Today Brooke Patterson (@Knee_Howells) speaks with Dr Nonhlanhla Mkumbuzi (@DrNoeMkumbuzi). Dr Mkumbuzi is a physiotherapist, and completed her PhD in 2020 on the association of genetic risk factors with nociception and pain in chronic painful achilles and patellar tendinopathies. She is a post-doctoral research fellow at the University of Cape Town. Dr Mkumbuzi shares some eye-opening experiences as head physiotherapist for Zimbabwe National Rugby Teams. We discuss her recent editorial (https://bjsm.bmj.com/content/early/2021/05/10/bjsports-2021-104202) and the broad consideration of race, culture, gender, and economics in sport and exercise medicine. She shares some personal experience and advice for marginalised athletes, clinicians, and academics. Brooke discusses the opportunity to get involved in the BJSM global mentoring program (https://bjsm.bmj.com/pages/wp-content/uploads/sites/17/2021/03/BJSM-Global-SEM-Mentoring-Program.pdf). Mentors can submit a short statement of interest with your areas of expertise to bjsmglobalmentoring@bmj.com. Mentees can submit a short description of the proposed study, and the specific areas you could use assistance.

The ORCCA registry and what it means for SEM clinicians. Ep #479

On this episode of the AMSSM CRN Spotlight Podcast (T: @TheAMSSM) host Dr. Jeremy Schroeder, DO, is joined by BJSM Editor-in-Chief Dr. Jonathan Drezner, MD, and Kimberly Harmon, MD, who are both Past Presidents of AMSSM.
In this 23-minute conversation, Drs. Drezner and Harmon discuss the Outcomes Registry for Cardiac Conditions in Athletes (ORCCA) national registry and address the following topics:
· Details about the ORCCA registry, what makes it unique and why it was created
· The early findings of the registry and what they mean for team physicians and athletic trainers
· How this study and others are impacting return-to-play decisions after COVID
· The current recommendations regarding cardiac imaging in athletes
· Finding the right balance in our professional and personal lives
Resources:
SARS-CoV-2 Cardiac Involvement in Young Competitive Athletes (https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.054824)

Beyond biology: a gendered approach to injury with Joanne Parsons and Stephanie Coen. Ep #478

Dr Joanne Parsons (@J_ParsonsUofM) is a physical therapist and an associate professor at the University of Manitoba. Dr Stephanie Coen (@steph_coen) is a health geographer and assistant professor at the University of Nottingham in the UK.
To date, ACL injury prevention and management has been approached from a sex-based biological point of view. In this episode, Dr Brooke Patterson (@Knee_Howells) discusses with Joanne and Stephanie how the traditional sex-based approach does not take into account the growing recognition of how sex and gender (a social construct) are ‘entangled’ and influence each other. They discuss their recent review (co-authored with Sheree Bekker), (https://bjsm.bmj.com/content/early/2021/03/09/bjsports-2020-103173) and how clinicians can take a gendered approach to inform more effective approaches to injury prevention and management.

How do we manage rowing-related low back pain? With Dr Fiona Wilson and Kellie Wilkie Ep# 477

In this podcast, Dr. Jane Thornton hosts Dr. Fiona Wilson and Kellie Wilkie to discuss their 2021 consensus statement for preventing and managing low back pain in elite and subelite adult rowers.
Dr. Fiona Wilson is an associate professor and physiotherapist in the School of Medicine Trinity College Dublin where she is head of the physiotherapy programme. She was lead physiotherapist for Rowing Ireland for 10 years and still practices clinically focusing on managing low back pain.
Kellie Wilkie is a Sport & Exercise Physiotherapist with her own private practice in Hobart, Tasmania. She was an Australian Rowing Team Physiotherapist from 2008-2016 and the Lead Physiotherapist in the Rio Olympic cycle.
We cover:
· What is rowing-related low back pain and how prevalent is it?
· What causes rowing-related low back pain, and can it be prevented?
· How should rowing-related low back pain be managed?
· What this means for rowers, coaches and medical staff
Links:
https://bjsm.bmj.com/content/early/2021/03/11/bjsports-2020-103385.abstract
World Rowing site: https://worldrowing.com/2021/05/11/guide-for-managing-low-back-pain-in-rowers/

What can SEM learn from the International Space Station w/ Leigh Gabel and Kathryn Ackerman Ep #476

Did you know that being on the International Space Station for a few months can have the same effect on bone density loss as a decade or more of aging here on earth? In this episode, Dr. Erin Macri asks Drs. Leigh Gabel and Kate Ackerman about a recent publication about predictors of bone loss on long-duration space flights – it’s not what you might think! – and how this new information might change how we approach bone health in sports medicine here on earth.

Links and resources:
https://twitter.com/AstroVicGlover/status/1337434468244746240
Gabel L, Liphardt AM, Hulme PA, Heer M, Zwart SR, Sibonga JD, Smith SM, Boyd S. Pre-flight exercise and bone metabolism predict unloading-induced bone loss due to spaceflight. British Journal of Sports Medicine. Published Online First: 17 February 2021. http://dx.doi.org/10.1136/bjsports-2020-103602
Ackerman KE, Popp KL, Bouxsein ML. Rocket science: what spaceflight can tell us about skeletal health on Earth. British Journal of Sports Medicine Published Online First: 21 April 2021. http://dx.doi.org/10.1136/bjsports-2021-104164

Don’t get hung up on telehealth and sports medicine, Dr Crystal Wong gives us a clear line. Ep #475

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Ashwin Rao, MD is joined by Dr. Crystal Wong, MD, a family medicine physician at the University of Washington and an Associate Medical Director at UW Neighborhood Clinics. She was instrumental in developing and implementing telemedicine services at the University of Washington during the COVID-19 pandemic, when UW saw a 29,000 percent increase of in telemedicine visits.
In this 22-minute conversation, Dr. Wong discusses her experience with telehealth services and addresses the following topics:
What do you see as the benefits of telemedicine in primary care and how might translate to other disciplines?
What are some of the challenges and barriers of telemedicine?
What types of visits are most amendable to the telehealth format?
What about efforts to replicate a physical exam virtually?
What are the challenges of administering telemedicine across state lines?
Will telemedicine continue to have a prominent role in practice after the pandemic?
What advice does she have for sports medicine providers interested in pursuing telemedicine services?
Resources:
Telemedicine Management of Musculoskeletal Issues - American Family Physician (aafp.org)

Heads up! Prof Vicki Anderson on the latest evidence in concussion management for the young. Ep #474

Professor Vicki Anderson is a paediatric neuropsychologist in Melbourne, Australia, with over 25 years of experience across clinical, research and academic sectors. She is the Director of Psychology at The Royal Children's Hospital, and Director of Clinical Sciences Research at Murdoch Children's Research Institute. Her research aims to better diagnose, manage and treat child concussion. In this episode, Brooke Patterson asks Vicki about who is most at risk of persistent symptoms after concussion, evidence-based intervention strategies, and digital health tools for monitoring child with post-concussion symptoms.
Twitter:
@bivianoanders
Website
https://www.mcri.edu.au/users/professor-vicki-anderson
Resources:
Raising Children Network - https://raisingchildren.net.au/guides/a-z-health-reference/concussion
HeadCheck App - https://www.headcheck.com.au/

The Black Biomechanists Association: a movement for diversity and representation in SEM. Ep #473

The Black Biomechanists Association (BBA) was recently cofounded by Associate Professor Matthew McCullough from North Carolina A&T State University, Kayla Seymore, PhD student at the University of Delaware, and Dr. Erica Bell, Postdoctoral fellow at the Mayo Clinic. In this episode, Dr. Erin Macri inquires about the need for organizations like this in our global scientific communities, and learns more about how the BBA is positioned to lead the charge in changing how we think about diversity, representation and anti-racism in biomechanics research.
Twitter:
@BlackBiomechs
@Erin_Macri
Links to articles and references:
Become a member (allies welcome): bit.ly/BBA-member
Contact us: blackbiomechanics@gmail.com
Follow us: @BlackBiomechs on Twitter/Instagram
Dr. Karl Zelik, Vanderbilt University:
https://theconversation.com/chadwick-bosemans-black-panther-gives-a-boost-to-diversity-in-stem-a-black-engineers-take-on-personal-and-professional-inspiration-151983
Dr. Cherice Hill, Clemson University/Medical University of South Carolina:
Hill CN, Reed W, Schmitt D, Sands LP, Queen RM. Racial differences in gait mechanics. Journal of biomechanics. 2020;112:110070
https://doi.org/10.1016/j.jbiomech.2020.110070

Concussion in Para-Sport, what should every SEM clinician know? With Dr Richard Weiler. Ep #472

Are concussions in para-sport a big issue? What are some of the challenges in this setting? Where do you start, when it comes to assessing para-athletes?
In this 20-minute podcast with SEM consultant Dr Richard Weiler, you will learn the answers to all of the above, and know where to find some practical tips & tricks.
Links:
Link to paper https://bjsm.bmj.com/content/early/2021/04/08/bjsports-2020-103696

A salivary test to diagnose concussion? We talk with Dr Simon Kemp and Dr Patrick O’Halloran Ep #471

Dr Simon Kemp is a Sport and Exercise Medicine consultant, and Medical Services Director at the Rugby Football Union. He is a leading researcher in Rugby Medicine, with a wide and high-impact research portfolio. Dr Patrick O’Halloran is a Sport and Exercise Medicine Registrar in the UK who is undertaking a PhD at the University of Birmingham. He also works as a senior medical advisor to Marker. They both join us in this podcast to talk about their recently published paper on the diagnostic signatures of concussion in the saliva of male athletes.
In this 15-minute chat, we talk about the importance of developing objective measures in diagnosing concussions, how they went about their ground-breaking trial and much more.
You can find their paper ‘Unique diagnostic signatures of concussion in the saliva of male athletes: the Study of Concussion in Rugby Union through MicroRNAs (SCRUM)’, via the link below: https://bjsm.bmj.com/content/early/2021/02/09/bjsports-2020-103274